| NPI | 1487060174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS018366) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT015891) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2021-04-15 |